Dr Kavya Koppula, MD - Medicare Family Practice in Park Rapids, MN

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Dr Kavya Koppula, MD is a medicare enrolled "Family Medicine" physician in Park Rapids, Minnesota. She graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Gulf Coast Physician Services, Pllc and her current practice location is 705 Pleasant Ave S, Park Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 732-2800.

Dr Kavya Koppula is licensed to practice in Minnesota (license number 60483) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316387467.

Contact Information

Dr Kavya Koppula, MD
705 Pleasant Ave S,
Park Rapids, MN 56470-1440
(218) 732-2800
Not Available

Map and Direction




Physician's Profile

Full NameDr Kavya Koppula
GenderFemale
SpecialityFamily Practice
Experience19 Years
Location705 Pleasant Ave S, Park Rapids, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kavya Koppula graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1316387467
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 07/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6901020510
  • Enrollment ID: I20191217001982

Medical Identifiers

Medical identifiers for Dr Kavya Koppula such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316387467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301103189 (Michigan)Secondary
207Q00000XFamily Medicine 60483 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Spohn Hospital Corpus ChristiCorpus christi, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gulf Coast Physician Services, Pllc721438882695

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kavya Koppula allows following entities to bill medicare on her behalf.
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20061121000364
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20100317001021
Entity NameHospitalist Medicine Physicians Of Texas-tcg Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902384464
PECOS PAC ID: 3678825312
Enrollment ID: O20181009000584
Entity NameGulf Coast Physician Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922889187
PECOS PAC ID: 7214388826
Enrollment ID: O20240108006134

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kavya Koppula is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kavya Koppula, MD
Po Box 6001,
Fargo, ND 58108-6001

Ph: (701) 364-8000		Dr Kavya Koppula, MD
705 Pleasant Ave S,
Park Rapids, MN 56470-1440

Ph: (218) 732-2800

Reviews and Comments


Family Medicine Doctors in Park Rapids, MN

Michele Thieman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470
Phone: 218-732-2800    Fax: 218-732-2874
Shane D Nygard, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 110 7th St W, Park Rapids, MN 56470
Phone: 218-699-3121    
Todd M Officer, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470
Phone: 218-732-2800    Fax: 218-732-2874
Anthony Hacker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470
Phone: 218-616-3423    
Bradley A Refsland, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470
Phone: 218-732-2800    Fax: 218-732-2874
Dr. Maurice William Spangler, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470
Phone: 218-732-3311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.